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NPI Code Detail

MEDICARE: DR. LISA G TUFANKJIAN DO

MEDICARE: DR. LISA G TUFANKJIAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMB74511NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12133945000OTHERNJAMERIHEALTH
22391807OTHERNJCIGNA HEALTHCARE
32112037OTHERNJUNITED HEALTHCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
560001815OTHERNJHORIZON NJ HEALTH
62K1877OTHERNJHEALTHNET
77536248OTHERNJAETNA USHC
8P2696618OTHERNJOXFORD HEALTHPLAN
901000462804OTHERNJAMERICHOICE
10312637OTHERNJUS FAMILY HEALTHPLAN
1135510OTHERNJUNIVERSITY HEALTHPLAN
1289178OTHERNJAMERIGROUP

General Provider Information

NPI Number : 1912999749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA G TUFANKJIAN DO
Provider Business Mailing Address
First Line : 1 HAMILTON HEALTH PL
Second Line :
City : TRENTON
State : NJ
Zip : 08690-3542
Country : US
Telephone Number : 609-631-6899
Fax Number : 609-631-6898
Provider Business Practice Location Address
First Line : 1 HAMILTON HEALTH PL
Second Line :
City : TRENTON
State : NJ
Zip : 08690-3542
Country : US
Telephone Number : 609-631-6899
Fax Number : 609-631-6898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 10/01/2013

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